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813-780-OD20 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • Building Department <br /> Date Received <br /> Phone Contact for PermlitIng- I(Ts <br /> Owner's Name nnov :urmes Owner Phone Number <br /> Owner's Address C 3t, Owner Phone Number- <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple.Titleholder Address <br /> JOB ADDRESS 1,f)01q MD00ey) Q1100 Q( . LOTO <br /> SUBDIVISION PARCEL IDO <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED R NEW CONSTRR- ADDIALT' SIGN- DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED:USE 'SFR COMM OTHER <br /> TYPE OF CONSTRUCTION Q -BLOCK * rJ FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE Sty FOOTAGE= HEIGHT <br /> 614444-8444444 1 A A 1 W444444" <br /> BUILDING 1$ VALUATION'OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING <br /> 4 1$ 1- <br /> [MECHANICAL 1$ 1 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO <br /> ................ ........ -------- <br /> HHH11 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F_ <br /> PLUMBER Ae KV) tv Fic. rdjon <br /> SIGNATURE REGISTERED �Aeff <br /> REGISTERED Y N FEE CURREN /N <br /> Address 19511 k6e_4-h1eh:_-['y) n license# F 3- S- <br /> MECHANICAL* COMPANY <br /> SIGNATURE REGISTERED L-.—Y,/ N FEE CURREN <br /> Address Ucense#.F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License#F_ <br /> WHim"PAW . .. ..................... ........ <br /> RESIDENTIAL Attach(2)'PI6t-PIans',.(2)Sets of Buildinig Plans;(1)set of Ehers;V:Formii�,R-OW Permit for now construction. <br /> Minimum ten--(10)woNng;days,aftersubrfifti'date.�-Required onsita,'CbrIsftuction Stormwater-Plans w/Silt Fence Installed, <br /> Sanitary Facilities'&.1.duMpster,Site Work Permit for subdivislo-ns/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plains plus a Life Safety Page;(1)set of Energy Forms.ROW Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements.must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered-Plans.. .,-- . . <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> upal HIR I <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required; (A/C upgrades over$7500) - <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING -(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If.on public roadways..neads ROW <br />